Healthcare Provider Details

I. General information

NPI: 1881770923
Provider Name (Legal Business Name): ALLSTAR PARTNERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6894 ALAMO DOWNS PKWY
SAN ANTONIO TX
78238-4535
US

IV. Provider business mailing address

1101 W. PECAN, #8
PFLUGERVILLE TX
78634
US

V. Phone/Fax

Practice location:
  • Phone: 210-767-8004
  • Fax: 210-767-8024
Mailing address:
  • Phone: 512-251-5977
  • Fax: 512-251-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR PRESTON GAGE
Title or Position: OWNER/PARTNER
Credential:
Phone: 512-251-5977